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General NPI Number Information
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NPI Number | 1134427016
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Entity Type | Individual
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Provider Name | RICHARD ALLEN BETCHER MD
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Gender | Male
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Dates
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Enumeration Date | 03/02/2011
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Last Update Date | 03/02/2011
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Provider Practice Location Address
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Address Line | 1510 E HERNDON AVE F
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City | FRENSNO
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State | CA
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Zip | 93720
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Country | US
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Telephone | 559-240-8223
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Fax |
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Provider Business Mailing Address
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Address Line | 933 NORTHWOOD BLVD # 10
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City | INCLINE VILLAGE
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State | NV
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Zip | 89451
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Country | US
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Telephone | 559-240-8223
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Fax | 775-831-1882
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G25249
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License Number State | CA
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